ProviderBusinessMailingAddressFaxNumber = '2088827701'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1275074486
MOSCOW MOUNTAIN ANESTHESIA, PLLC
2300 W A ST
MOSCOW
ID
838434038
1750386256
PALOUSE SURGERY CENTER, LLC
2300 W A ST
MOSCOW
ID
838434038
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